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The EMEA ADHES survey in schizophrenia: psychiatrists’ perceptions of the extent of assessment and management of partial and non-adherence to medication

Published online by Cambridge University Press:  16 April 2020

D. Naber
Affiliation:
Universitätsklinikum Hamburg-Eppendorf, Klinik für Psychiatrie und Psychotherapie, Hamburg, Germany
K. Alptekin
Affiliation:
Department of Psychiatry, Dokuz Eylül University School of Medicine, Izmir, Turkey
J.M. Azorin
Affiliation:
Department of Psychiatry, Sainte Marguerite Hospital, Marseille, France
F. Cañas
Affiliation:
Department of Psychiatry, Hospital Dr. R. Lafora, Madrid, Spain
V. Dubois
Affiliation:
Cliniques Unversitaires St-Luc, Bruxelles, Belgium
R. Emsley
Affiliation:
Department of Psychiatry, Faculty of Health Sciences, University of Stellenbosch, Cape Town, South Africa
P. Haddad
Affiliation:
Salford and Trafford Mental Health NHS Trust and Department of Psychiatry, University of Manchester, Manchester, UK
P. Gorwood
Affiliation:
CMME. Hospital Sainte-Anne (Paris-Descartes), Paris, France
J.M. Olivares
Affiliation:
Department of Psychiatry, Hospital Meixoeiro, Complejo Universitario de Vigo, Vigo, Spain
G. Papageorgiou
Affiliation:
Department of Psychiatry, Evangelismos General Hospital, Athens, Greece
M. Roca
Affiliation:
Unidad de Psiquiatría, Hospital Juan March, Institut Universitari d’Investigació en Cièncie de la Salut (IUNICS) Universitat de les Illes Balears, Palma de Mallorca, Spain
P. Thomas
Affiliation:
Department of Psychiatry, Fontan Hospital CHRU Lille, University of Lille, Lille, France
L. Martinez
Affiliation:
Medical Affairs, Janssen, Madrid, Spain
A. Schreiner
Affiliation:
Medical Affairs, Janssen, Neuss, Germany

Abstract

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Introduction

Partial or non-adherence to medication is high amongst patients with schizophrenia. Rates of non-adherence of up to 72% have being reported depending on the method used and the patient population. Adherence is essential for optimal long-term patient outcomes in schizophrenia and failure to adhere to medication can have a major impact on the course of illness and treatment outcomes.

Objectives

The objective of the EMEA (Europe, Middle east and Africa) ADHES survey was to collect psychiatrist's perceptions of the assessment, reasons and management of partial and non-adherence to medication.

Aims

The aim of this poster is to present psychiatrist's perceptions collected in the EMEA ADHES survey.

Methods

The survey was devised to ascertain psychiatrists’ preferred methods of assessing adherence, their perceptions of the level of adherence, reasons for non-adherence and on strategies to improve adherence.

Results

Psychiatrists estimated that during the previous month more than half of their patients (53%) were partially or non-adherent. They estimated that as few as a third of patients who deteriorated after stopping medication was able to attribute this to their non-adherence. 76% of psychiatrists assessed adherence most frequently by asking their patient explicitly. Use of long-acting treatment was the preferred choice to address adherence problems for 62% of respondents.

Discussion

This EMEA-wide survey illustrates that while respondents recognised the relevance and importance of partial and non-adherence to medication, there remains a need for more proactive management of treatment adherence of patients with schizophrenia to reduce the frequency and consequences of relapse.

Type
P03-277
Copyright
Copyright © European Psychiatric Association 2011
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